Most Relevant Information
Provider Data
| NPI Number: | 1003517822 |
| Provider Name: | IRENE ANDREA SMITH MSN, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0809X |
| Specialty: | Registered Nurse |
| License Number: | 95152609 |
Most Important Dates
| Enumeration Date: | 03/17/2023 |
| Last Updated: | 03/17/2023 |
Provider Practice Location
655 PARK CENTER DR
SANTEE
CA
920716957
Practice Location Phone/Fax
| Phone: | 6195965500 |
| Fax: | 6195965501 |
Provider Mailing Location
655 PARK CENTER DR
SANTEE
CA
920716957
Provider Mailing Phone/Fax
| Phone: | 6195965500 |
| Fax: | 6195965501 |